Title Page
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Site conducted
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Conducted on
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Conducted by
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Location
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Vehicle registration
- BX15 USN
- ME19 UWH
- DV20 NLZ
- DY20 LYV
- WN63 HDG
- MX70 VBN
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Staff involved
- Marc McNally
- Adam Bassoo
- Dan Carroll
- Ryan Martin
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Type of work/project working on
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Gang working safely: pit safety, general NRSWA, site layout, WAH, PPE and gas test
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Vehicle legal: taxed, tyres legal and locks working
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Vehicle exterior: clean and signed
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Interior: cab and rear clean, organised, no rubbish and dash clear
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Interior signage:
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PAT - no damage to equipment
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Safety at Street Works Book
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Constant gas monitor calibrated and working - battery ok
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Serial number
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Cal expiry date
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Cobra rod 14mm
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Cobra rod 11mm
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Cobra rod 6mm
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D-Keys
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T-Keys
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Pit lifters number
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FW
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CW
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Correct signing and guarding equipment on vehicle:<br>Cones x 12 - check sleeves<br>Gate guards 3x4 sided<br>Road signs (L/R arrow, road narrows, MAW)<br>Pedestrian barriers, pedestrian arrow and apology board
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2KG Fire extinguisher
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PPE: hard hat in date and ear defenders<br>Safety: glasses, gloves and boots (no steel showing), hi-visibility coat/vest, dust mask, knee pads, overshoes and hand wipes<br>Good condition stored correctly in blue bag - one kit per engineer
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Vehicle first aid kit available and fully stocked with eye wash
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Personal appearance satisfactory
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Date of last van audit
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Risk assessments completed correctly
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Job packs including STAT drawings, list of amenities and emergency numbers
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Comments
